NPI 1063781250

Geriatric and Family Medicine

Organisation Nursing Facility/Intermediate Care Facility Lakewood, CO

Practice location

Address: 8015 W Alameda Ave 210, Lakewood, CO 80226-3041
Phone: (303) 742-0086
Fax: (303) 742-0690
Mailing address: 2582 S Independence St, Lakewood, CO 80227-2846

Authorised official

Name: Paul Fishman
Title: Owner
Phone: (303) 742-0086

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 3336 (CO)

Other Nursing Facility/Intermediate Care Facility providers in Colorado →

Registry record

NPI: 1063781250
Entity type: Organization
NPI issued: 19 Dec 2011
Record last updated: 19 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.